Healthcare Edit Research Specialist

Job Summary

A company is looking for an Edit Research Specialist to manage content rules within the Claims Manager product and ensure data accuracy.

Key Responsibilities

• Develop and maintain rules based on regulatory changes and other considerations
• Review and analyze guidelines and policies for impact on the rules database
• Manage customer communication and ensure timely updates for various payer requirements

Required Qualifications

• 2+ years of experience in the U.S. healthcare industry
• Associate or bachelor's degree in a related field, such as Health Information Management
• Basic knowledge of coding methodologies, including ICD-10 and HCPCS/CPT
• Proficiency in MS Office, particularly Excel
• Understanding of Revenue Cycle Management processes